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多种组织瓣修复小儿足部深度组织缺损一例

CHINESE JOURNAL OF BURNS(2010)

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Abstract
患儿男,1岁9个月.因左股骨干骨折在当地医院采用悬吊捆绑牵引复位致双足皮肤坏死,伤后20余日在淮北市人民医院骨科行坏死皮肤清创术,术后17 d因左足背、足跟软组织缺损,肌腱坏死,跟骨外露转入我科.患儿左大腿夹板固定.足背肉芽创面7 cm ×5 cm,拇长伸肌腱、胫骨前肌肌腱外露坏死3 cm,左足跟部肉芽创面5 cm×4 cm,中央有3cm ×2 cm的跟骨外露,创面有少量淡黄色脓性分泌物,创周无明显炎性反应.创面分泌物培养结果为表皮葡萄球菌.
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